🏥 Sierra Nevada Memorial Hospital

Nevada County · HCAI 106291023

155 GLASSON WAY, GRASS VALLEY 95945

Open · Hospital facility · roster 2026-10-01

Hospital Snapshot

The available data, together. Tap a section to open its history and sources.

↑ Increasing · ↓ Decreasing · → Stable · Provisional = filing still in process

Read the arrows

Trends: ↑ increasing, ↓ decreasing, → stable over the dates shown. Provisional means a filing is still in process.

CMS / CDPH comparisons: ↑ above, ↓ below, ↔ equal to the national number or the source reports no difference. The label identifies which comparison is shown.

—: no matched comparison.

👩‍⚕️ RN staffing

Reporting-unit RN hours / patient day: 17.09↑
Productive RN hours: 304,099
RN-only FTEs · productive, calculated: 146.2

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: 7.1%↑
Contract RN hours: 27,887

History & details →

🛏️ Beds & capacity

🏥 Reported licensed beds: 104
🛏️ Reported staffed beds: 52—
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 104
❤️ Licensed ICU beds: 2
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 10
🚑 ED treatment stations: 21

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: 31,193
🛏️ ED admissions: 4,121
⏱️ Median ED stay · excludes psych / transfers: 145 min↓
⏱️ Psychiatric / mental-health ED stay · median: 148 min↓
🚑 Left before being seen: 3%↑
⏱️ Ambulance offload · 90th percentile: 10 min
🚨 Ambulance diversion reported: No
⏱️ Boarding / wait time: — UNKNOWN

History & details →

🔄 Services & changes

Documented service changes: Service review not documented

History & details →

👥 Turnover & working conditions

Acute-hospital RN turnover: — UNKNOWN
RN vacancies: — UNKNOWN

Pay, overtime, orientation and contract records →

History & details →

💬 Patient experience

Nurses communicated well · Always: 83%↑
Help as soon as wanted · Always · legacy measure: 67%↔

History & details →

🦠 Infections · CMS ratios

Central-line bloodstream infections · CLABSI · SIR: Not calculable
Catheter-associated urinary infections · CAUTI · SIR: Not calculable
MRSA bloodstream infections · SIR: 0.000↔CMS: no different from national benchmark
C. diff infections · SIR: 0.118↓CMS: lower than national benchmark · better
Surgical-site infections · colon surgery · SIR: 0.644↔CMS: no different from national benchmark
Surgical-site infections · hysterectomy · SIR: Not calculable

History & details →

🦠 Central-line infections · CDPH counts

Reported CLABSIs: 0
Central-line days: 1,504
Months reported: 12 / 12

History & details →

🏥 Readmissions & mortality

30-day readmissions

Heart attack: — UNKNOWN
Heart failure: 19.5%↓
Pneumonia: 16.9%↓
COPD: 20.9%↑
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: 5.6%↓

30-day mortality

Heart attack: 12.2%↑
Heart failure: 11.1%↔
Pneumonia: 13.4%↓
COPD: 9.9%↑
Coronary bypass surgery: — UNKNOWN
Stroke: 9.9%↓

History & details →

📈 Workload & complete records

Patient days, discharges, care mix and workload history.

🔎 All sources →History & details →

Explore history & sources

Before you take the job

Open details

Charge-nurse patient assignment — UNKNOWN · charge availability affects every nurse’s backupIs the charge nurse free of a patient assignment on this unit? If not, is it a partial or full assignment, how many patients, and how often? What dedicated RN/LVN support is provided, and who covers charge duties during emergencies?Source →

↑ Back to snapshot

👥 Turnover & working conditions

Open details

Who stays? Who leaves?

Acute-hospital RN turnover: — UNKNOWN
RN vacancies: — UNKNOWN

Pay, overtime, orientation & contract

RN overtime: UNKNOWN — no matched RN-specific hours
Current RN wage scale: UNKNOWN — no matched current scale
Orientation: UNKNOWN — no matched unit policy
Contract provisions: UNKNOWN — no executed local contract reviewed

↑ Back to snapshot

📈 Workload & patient demand

Open details

📈 Workload, Staffing & Capacity

2022–2024: ED encounters increased from 27,255 to 31,193.

🚑 ED activity · ↑ 14.4%

ED history & measures → · 🔎 Sources →

↑ Back to snapshot

👩‍⚕️ RN Staffing

Open details

Annual RN labor inputs · all retained years

Annual financial reporting unit · source-reported inputs
Reporting period	Productive RN hours	Contract RN hours	Patient days	Filing status	Source
2021-07-01–2022-06-30	288,782	18,625	18,222	Audited	Preserved fileAPI record ID 363
2022-07-01–2023-06-30	283,860	17,254	17,424	Audited	Preserved fileAPI record ID 365
2023-07-01–2024-06-30	304,099	27,887	17,794	Audited	Preserved fileHADR 01-01-2024 to 12-31-2024 row 362

Full source records & reporting scope →

🔎 Records & complete history →

Reporting-unit RN hours / patient day

17.09

2023-07-01–2024-06-30📈 Trend: ↑ Increasing · 2022–2024

California peer comparison

Peer median: 14.85
Typical reported range · middle 50%: 11.14–19.49

RN hours / patient day · 191 audited 2024 reports

Mostly acute-care patient days

100.0% of this report’s patient days: acute care

Within the typical reported range

🔎 Comparison source & calculation

Productive RN hours

304,099

2023-07-01–2024-06-30

RN-only FTEs · productive, calculated

146.2

2023-07-01–2024-06-30 · productive RN hours ÷ 2,080

📈 RN hours per patient day · annual reports

RN hours per patient day · annual reports · RN hours / patient day
Period	RN hours / patient day
2022	15.85
2023	16.29
2024	17.09

2022–2024 pattern: RN hours per patient day went from 15.85 to 17.09.

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details

🔎 Records & complete history →

Contract RN hours / reported nursing hours: 7.1%
Contract RN hours: 27,887

📈 Contract RN share of nursing hours · annual reports

Contract RN share of nursing hours · annual reports · % of nursing hours
Period	% of nursing hours
2022	4.2
2023	4.83
2024	7.14

2022–2024 pattern: contract RN share went from 4.2% to 7.1%.

2018–2019 baseline: 4.0%.

↑ Back to snapshot

🛏️ Beds & Capacity

Open details

Which kind of bed capacity is reported?

What do these bed counts mean?

🏥 Licensed: Authorized bed capacity under the facility license.
🛏️ Staffed: Beds the hospital reports having personnel to operate during the reporting period.
⚙️ Operational: Beds open and equipped for patient care at a stated time.
📋 Reported available: The source’s available-bed count for its dated reporting period. Live availability means an empty, staffed bed ready to accept a patient now.

🔎 Records & complete history →

🏥 Reported licensed beds: 104
🛏️ Reported staffed beds: 52
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 104
❤️ Licensed ICU beds: 2
👶 Licensed NICU beds: 0
🤰 Licensed perinatal beds: 10
🚑 ED treatment stations: 21

📈 Licensed specialty-bed history

Licensed beds · annual utilization
Licensed beds	2022	2023	2024
❤️ ICU	2	2	2
👶 NICU	0	0	0
🤰 Perinatal	10	10	10

📈 ED treatment stations · December 31

ED treatment stations · December 31 · Stations
Period	Stations
2022	18
2023	18
2024	21

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: 31,193
🛏️ ED admissions: 4,121
⏱️ Median ED stay · excludes psych / transfers: 145 min↓
⏱️ Psychiatric / mental-health ED stay · median: 148 min↓
🚑 Left before being seen: 3%↑
⏱️ Ambulance offload · 90th percentile: 10 min
🚨 Ambulance diversion reported: No
⏱️ Boarding / wait time: — UNKNOWN

📈 Ambulance offload · 90th percentile · Oct 2024–Mar 2025

Ambulance offload · 90th percentile · Oct 2024–Mar 2025 · Minutes
Period	Minutes
Oct 2024	6
Nov 2024	6
Dec 2024	6
Jan 2025	10
Feb 2025	10
Mar 2025	10

📈 ED encounters · admitted + non-admitted

ED encounters · admitted + non-admitted · Encounters
Period	Encounters
2022	27,255
2023	29,768
2024	31,193

↑ Back to snapshot

🔄 Services & Changes

Open details

Service review not documented

All documented service changes →↑ Back to snapshot

💬 Patient experience

Open details

Patient Experience

CMS reporting unit 050150 · SIERRA NEVADA MEMORIAL HOSPITAL

Patients who answered “Always”

Nurses communicated well: 83%↑Above national rate 80% · numerical comparison
Received help as soon as wanted: 67%↔Equal to national rate 67% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🦠 Infections · CMS ratios

Open details

Infections · CMS

CMS reporting unit 050150 · SIERRA NEVADA MEMORIAL HOSPITAL

Infections · standardized infection ratio (SIR)

Central-line bloodstream infections · CLABSI · SIR: Not calculable
Catheter-associated urinary infections · CAUTI · SIR: Not calculable
MRSA bloodstream infections · SIR: 0.000↔CMS: no different from national benchmark
C. diff infections · SIR: 0.118↓CMS: lower than national benchmark · better
Surgical-site infections · colon surgery · SIR: 0.644↔CMS: no different from national benchmark
Surgical-site infections · hysterectomy · SIR: Not calculable

🔎 Measure records & sources →

↑ Back to snapshot

🏥 Readmissions & mortality

Open details

Readmissions & Mortality

CMS reporting unit 050150 · SIERRA NEVADA MEMORIAL HOSPITAL

Unplanned readmissions within 30 days

Heart attack: — UNKNOWN
Heart failure: 19.5%↓Below national rate 21.3% · numerical comparison
Pneumonia: 16.9%↓Below national rate 17.3% · numerical comparison
COPD: 20.9%↑Above national rate 20% · numerical comparison
Coronary bypass surgery: — UNKNOWN
Hip/knee replacement: 5.6%↓Below national rate 5.8% · numerical comparison

Deaths within 30 days

Heart attack: 12.2%↑Above national rate 11.9% · numerical comparison
Heart failure: 11.1%↔Equal to national rate 11.1% · numerical comparison
Pneumonia: 13.4%↓Below national rate 15.2% · numerical comparison
COPD: 9.9%↑Above national rate 8.6% · numerical comparison
Coronary bypass surgery: — UNKNOWN
Stroke: 9.9%↓Below national rate 11.9% · numerical comparison

🔎 Measure records & sources →

↑ Back to snapshot

🦠 Central-line infections · CDPH

Open details

Central-line infections reported

CDPH facility 230000262 · SIERRA NEVADA MEMORIAL HOSPITAL

Reported CLABSIs: 0
Months reported: 12 / 12

Risk-adjusted infection record · 2025

Standardized infection ratio (SIR): 0↔
Predicted infections: 0.81

CLABSI means a central-line-associated bloodstream infection. Counts are shown with central-line days and reporting coverage.

2022–2025 counts & source records

CDPH CLABSI records · facility 230000262
Year	Central-line days	Months reported
2022	1,857	12 / 12
2023	1,477	12 / 12
2024	1,745	12 / 12
2025	1,504	12 / 12

2022 · preserved CDPH CSV (gzip) · row 218 · Community, <125 Beds · Acute Care Hospital
2023 · preserved CDPH CSV (gzip) · row 218 · Community, <125 Beds · Acute Care Hospital
2024 · preserved CDPH CSV (gzip) · row 217 · Community, <125 Beds · Acute Care HospitalSource note: ¥ See Data Dictionary
2025 · preserved CDPH CSV (gzip) · row 216 · Community, <125 Beds · Acute Care HospitalSource note: ¥ See Data Dictionary

Identity snapshot: 2026-09-16 · CDPH facility record 3117

Matched records & checksums · Official CDPH dataset

↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 234 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106291023 · dates, source locators and original values included

RN labor and workload · records & history

RN trend comparison: eligible. Contract-share trend comparison: eligible.

2022 · 2021-07-01–2022-06-30 · Audited

Download preserved source · Official source · API record ID 363

Field

Value

year

2022

begin

2021-07-01

end

2022-06-30

reportDays

365

filing

Audited

type

Comparable

sourceRecord

363

name

SIERRA NEVADA MEMORIAL HOSPITAL

county

Nevada

rnHours

288782

patientDays

18222

ratio

15.847985951048184

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	288782
PRD_HR_LVN	0
PRD_HR_AID	136234
CNT_HR_RN	18625

nursingHours

443641

contractShare

0.041982143219404876

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	18222
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	0
DAY_RESDNT	0

2023 · 2022-07-01–2023-06-30 · Audited

Download preserved source · Official source · API record ID 365

Field

Value

year

2023

begin

2022-07-01

end

2023-06-30

reportDays

365

filing

Audited

type

Comparable

sourceRecord

365

name

SIERRA NEVADA MEMORIAL HOSPITAL

county

Nevada

rnHours

283860

patientDays

17424

ratio

16.291322314049587

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	283860
PRD_HR_LVN	0
PRD_HR_AID	56416
CNT_HR_RN	17254

nursingHours

357530

contractShare

0.048258887366095155

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	17424
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	0
DAY_RESDNT	0

2024 · 2023-07-01–2024-06-30 · Audited

Download preserved source · Official source · HADR 01-01-2024 to 12-31-2024 row 362

Field

Value

year

2024

begin

2023-07-01

end

2024-06-30

reportDays

366

filing

Audited

type

Comparable

sourceRecord

362

name

SIERRA NEVADA MEMORIAL HOSPITAL

county

Nevada

rnHours

304099

patientDays

17794

ratio

17.089974148589413

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	304099
PRD_HR_LVN	0
PRD_HR_AID	58601
CNT_HR_RN	27887

nursingHours

390587

contractShare

0.07139766556490615

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	17794
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	0
DAY_LTC	0
DAY_RESDNT	0

Current CNO profile record · reported labor fields

Preserved 2024 financial workbook

Retained record fields
Field	Value
rnHours	304099
contractHours	27887
contractShare	0.0714
rnPerPatientDay	17.08997
baseline	0.03997
history	UNIQUE
filing	Audited

Beds and capacity · records & history

Official facility identity, campus scope & licensed beds · 2026-10-01

Official HCAI roster · Retained source · row 234

Field

Value

officialName

SIERRA NEVADA MEMORIAL HOSPITAL

county

Nevada

city

GRASS VALLEY

address

155 GLASSON WAY

zip

95945

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

1958-12-24

licensedBeds

104

erServiceLevel

Emergency - Basic

licenseNumber

230000152

rosterDate

2026-10-01

checkedOn

2026-10-12

sourceRow

234

officialUrl

https://data.chhs.ca.gov/dataset/licensed-healthcare-facility-listing

sourceFile

/downloads/coverage/hcai-current-20261001.json.gz

aliases

Open aliases

Record 1

SIERRA NEVADA MEMORIAL HOSPITAL

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	3062
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	230000262
LICENSE_NUMBER	230000152
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	10375
HCAI_ID	106291023
ASPEN_FACID	CA230000262
CCN	050150
NPI	1659361392
ASPEN_STATUS	ACTIVE
FACNAME	SIERRA NEVADA MEMORIAL HOSPITAL
FAC_TYPE_DESCRIPTION	GENERAL ACUTE CARE HOSPITAL
FAC_FDR	GENERAL ACUTE CARE HOSPITAL
FAC_FAC_RELATIONSHIP	Parent
ELMS_PARENT_FACID	— UNKNOWN

addedByCoverageAudit

false

Retained record fields
Field	Value
licensedBeds	104
staffedBeds	52
availableBeds	104
reportingYear	2025
scope	Workforce reporting year 2024; capacity reporting year 2025; not a same-period state assessment.

Licensed beds by care type · 2022 · 2022-01-01–2022-12-31

Preserved utilization workbook · Page 1-6 · row 229

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	104
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

104

sourceRow

229

sourceId

AUR-2022

Licensed beds by care type · 2023 · 2023-01-01–2023-12-31

Preserved utilization workbook · Page 1-6 · row 231

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	104
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

104

sourceRow

231

sourceId

AUR-2023

Licensed beds by care type · 2024 · 2024-01-01–2024-12-31

Preserved utilization workbook · Page 1-6 · row 231

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	104
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

104

sourceRow

231

sourceId

AUR-2024

ED activity, specialty beds and diversion · records & history

2022 · 2022-01-01–2022-12-31

Download preserved workbook · Official source · HCAI 106291023 · source row 229

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
operated	Yes
sourceId	AUR-2022
sourceRow	229
diversionReported	No
icuLicensed	2
nicuLicensed	0
perinatalLicensed	10
edStations	18
edNonAdmitVisits	23658
edAdmissions	3597
diversionHours	— UNKNOWN

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106291023 · source row 231

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	231
diversionReported	No
icuLicensed	2
nicuLicensed	0
perinatalLicensed	10
edStations	18
edNonAdmitVisits	25888
edAdmissions	3880
diversionHours	— UNKNOWN

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106291023 · source row 231

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	231
diversionReported	No
icuLicensed	2
nicuLicensed	0
perinatalLicensed	10
edStations	21
edNonAdmitVisits	27072
edAdmissions	4121
diversionHours	— UNKNOWN

CMS ED measures · records & history

CMS 050150 · SIERRA NEVADA MEMORIAL HOSPITAL · Download preserved CMS file · Official source

OP_18b · Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better · source row 10320

Retained record fields
Field	Value
value	145
raw	145
sample	355
footnote
start	2024-10-01
end	2025-09-30
sourceRow	10320
measureName	Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better

OP_18c · Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better · source row 10321

Retained record fields
Field	Value
value	148
raw	148
sample	23
footnote
start	2024-10-01
end	2025-09-30
sourceRow	10321
measureName	Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better

OP_18d · Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better · source row 10322

Retained record fields
Field	Value
value	— UNKNOWN
raw	Not Available
sample	Not Available
footnote	1
start	2024-10-01
end	2025-09-30
sourceRow	10322
measureName	Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better

OP_22 · Left before being seen · source row 10323

Retained record fields
Field	Value
value	3
raw	3
sample	32928
footnote
start	2024-01-01
end	2024-12-31
sourceRow	10323
measureName	Left before being seen

Ambulance offload · records & history
Sierra Nevada Memorial Hospital · CEMSIS 20428 · unique normalized hospital / retained CMS name + EMS geography
Download preserved report · Official report
Record 1 · 2024-10
Retained record fields
Field Value
month 2024-10
minutes 6
offloadCount 587
countPage 33
rawTime 0:06:00
sourceId EMSA-APOT-JUNE2025
page 23
row 22
Record 2 · 2024-11
Retained record fields
Field Value
month 2024-11
minutes 6
offloadCount 506
countPage 38
rawTime 0:06:00
sourceId EMSA-APOT-JUNE2025
page 23
row 22
Record 3 · 2024-12
Retained record fields
Field Value
month 2024-12
minutes 6
offloadCount 466
countPage 43
rawTime 0:06:00
sourceId EMSA-APOT-JUNE2025
page 23
row 22
Record 4 · 2025-01
Retained record fields
Field Value
month 2025-01
minutes 10
offloadCount 517
countPage 48
rawTime 0:10:00
sourceId EMSA-APOT-JUNE2025
page 23
row 22
Record 5 · 2025-02
Retained record fields
Field Value
month 2025-02
minutes 10
offloadCount 470
countPage 53
rawTime 0:10:00
sourceId EMSA-APOT-JUNE2025
page 23
row 22
Record 6 · 2025-03
Retained record fields
Field Value
month 2025-03
minutes 10
offloadCount 565
countPage 58
rawTime 0:10:00
sourceId EMSA-APOT-JUNE2025
page 23
row 22

CMS patient experience, infection, readmission & mortality records

CMS 050150 · SIERRA NEVADA MEMORIAL HOSPITAL · 155 GLASSON WAY, GRASS VALLEY 95945 · unique normalized address + city + ZIP

Unplanned Hospital Visits - National · Preserved national benchmarks · SHA-256 42db9aba1b194c9c65cbba3db83a990ffa653795d38a037bc660f12f58fecf98
Complications and Deaths - National · Preserved national benchmarks · SHA-256 b5e488f242f3e577db0e5cc8223bf2964cf914b424464fba95976e2931d15dc6
Patient survey (HCAHPS) - National · Preserved national benchmarks · SHA-256 1168d562ee10f94eaef2d29e4e8571a9be912c6e27b8dc37b215ad4300d0d6ed
Timely and Effective Care - National · Preserved national benchmarks · SHA-256 9a9201b989acb29177312caf5c9340cf5c07bc7469f58a15b80fbc7eab3636de
HCAHPS National · November 26, 2025 archive · Preserved national benchmarks · SHA-256 4b9d43013c67022783fd5cb4fc12fb8076afb084cc774644586093d1843f04af
HCAHPS · nurse communication · released 2026-08-13 · Preserved CSV (gzip) · Release metadata
File checksums
CSV SHA-256: b70e598f29552df302e30ed649d178abd1b3d3c868ae97cf8e55453dd33898fc
Gzip SHA-256: 95684a71416b383524c79ad0c7ad112622e632df97f33dbc1d701827eeff04a9
HCAHPS · legacy responsiveness · released 2025-11-26 · Preserved CSV (gzip) · Release metadata
File checksums
CSV SHA-256: c11338a55a9ee674566493fe8abde8748d2809163e86de100bc45aaa382d8751
Gzip SHA-256: 7c48b1aefcba65ebbe26a1dba592c0319261b847cdd9bb7c58306d55466cd4f8
Healthcare-associated infections · released 2026-08-13 · Preserved CSV (gzip) · Release metadata
File checksums
CSV SHA-256: 95283bf20e66c5f9271e6b0b98969d8655487b4d5fa074dcee6e204ee4574f3d
Gzip SHA-256: f6f0f580606726171c93adad77cd1c92a4ec00a8b37563114414ff19116c39af
CMS unplanned readmissions · released 2026-09-30 · Preserved CSV (gzip) · Release metadata
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CSV SHA-256: 98cc64f5fc330ffa7e4bef97f8e86a772a1d3dfe2f7dd08976cb1ee43fad1b2d
Gzip SHA-256: 1110a7b338b17e815ee9a2e3f6e40f7c53d9fde1df7663ff452b2f82ed7bb575
CMS 30-day mortality · released 2026-09-30 · Preserved CSV (gzip) · Release metadata
File checksums
CSV SHA-256: 2f7112969e2de2a015af8574848973dc48595ca6f2fe032e5f0932c515d5f59a
Gzip SHA-256: 04b606e8f24603cc6711bd630abc02fee2ee707d81a529360c72433806b180ce

Exact CMS records · reporting unit 050150
Measure	Reported value	Period	Source / row	CMS footnotes
H_COMP_1_A_PPatients who reported that their nurses "Always" communicated well	83	2024-10-01–2025-09-30	hcahps / 24278	None
H_COMP_3_A_PPatients who reported that they "Always" received help as soon as they wanted	67	2024-01-01–2024-12-31	responsiveness / 33417	None
HAI_1_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)	Not Available	2024-10-01–2025-09-30	hai / 12859	13CMS cannot calculate
HAI_1_NUMERATORCentral Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases	0	2024-10-01–2025-09-30	hai / 12858	None
HAI_1_ELIGCASESCentral Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases	0.762	2024-10-01–2025-09-30	hai / 12857	None
HAI_1_CILOWERCentral Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 12854	13CMS cannot calculate
HAI_1_CIUPPERCentral Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 12855	13CMS cannot calculate
HAI_2_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)	Not Available	2024-10-01–2025-09-30	hai / 12865	13CMS cannot calculate
HAI_2_NUMERATORCatheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases	1	2024-10-01–2025-09-30	hai / 12864	None
HAI_2_ELIGCASESCatheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases	0.704	2024-10-01–2025-09-30	hai / 12863	None
HAI_2_CILOWERCatheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 12860	13CMS cannot calculate
HAI_2_CIUPPERCatheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 12861	13CMS cannot calculate
HAI_3_SIRSSI - Colon Surgery	0.644	2024-10-01–2025-09-30	hai / 12871	None
HAI_3_NUMERATORSSI - Colon Surgery: Observed Cases	1	2024-10-01–2025-09-30	hai / 12870	None
HAI_3_ELIGCASESSSI - Colon Surgery: Predicted Cases	1.554	2024-10-01–2025-09-30	hai / 12869	None
HAI_3_CILOWERSSI - Colon Surgery: Lower Confidence Limit	0.032	2024-10-01–2025-09-30	hai / 12866	None
HAI_3_CIUPPERSSI - Colon Surgery: Upper Confidence Limit	3.174	2024-10-01–2025-09-30	hai / 12867	None
HAI_4_SIRSSI - Abdominal Hysterectomy	Not Available	2024-10-01–2025-09-30	hai / 12877	13CMS cannot calculate
HAI_4_NUMERATORSSI - Abdominal Hysterectomy: Observed Cases	1	2024-10-01–2025-09-30	hai / 12876	None
HAI_4_ELIGCASESSSI - Abdominal Hysterectomy: Predicted Cases	0.386	2024-10-01–2025-09-30	hai / 12875	None
HAI_4_CILOWERSSI - Abdominal Hysterectomy: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 12872	13CMS cannot calculate
HAI_4_CIUPPERSSI - Abdominal Hysterectomy: Upper Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 12873	13CMS cannot calculate
HAI_5_SIRMRSA Bacteremia	0.000	2024-10-01–2025-09-30	hai / 12883	None
HAI_5_NUMERATORMRSA Bacteremia: Observed Cases	0	2024-10-01–2025-09-30	hai / 12882	None
HAI_5_ELIGCASESMRSA Bacteremia: Predicted Cases	1.073	2024-10-01–2025-09-30	hai / 12881	None
HAI_5_CILOWERMRSA Bacteremia: Lower Confidence Limit	Not Available	2024-10-01–2025-09-30	hai / 12878	8Lower confidence limit unavailable
HAI_5_CIUPPERMRSA Bacteremia: Upper Confidence Limit	2.792	2024-10-01–2025-09-30	hai / 12879	None
HAI_6_SIRClostridium Difficile (C.Diff)	0.118	2024-10-01–2025-09-30	hai / 12889	None
HAI_6_NUMERATORClostridium Difficile (C.Diff): Observed Cases	1	2024-10-01–2025-09-30	hai / 12888	None
HAI_6_ELIGCASESClostridium Difficile (C.Diff): Predicted Cases	8.446	2024-10-01–2025-09-30	hai / 12887	None
HAI_6_CILOWERClostridium Difficile (C.Diff): Lower Confidence Limit	0.006	2024-10-01–2025-09-30	hai / 12884	None
HAI_6_CIUPPERClostridium Difficile (C.Diff): Upper Confidence Limit	0.584	2024-10-01–2025-09-30	hai / 12885	None
READM_30_AMIAcute Myocardial Infarction (AMI) 30-Day Readmission Rate	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5008	1Too few cases to report
READM_30_HFHeart failure (HF) 30-Day Readmission Rate	19.5CMS cohort: 276Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5011	None
READM_30_PNPneumonia (PN) 30-Day Readmission Rate	16.9CMS cohort: 214Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5013	None
READM_30_COPDRate of readmission for chronic obstructive pulmonary disease (COPD) patients	20.9CMS cohort: 139Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5010	None
READM_30_CABGRate of readmission for CABG	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5009	5No CMS result for this period
READM_30_HIP_KNEERate of readmission after hip/knee replacement	5.6CMS cohort: 44Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	readmissions / 5012	None
MORT_30_AMIDeath rate for heart attack patients	12.2CMS cohort: 27Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 7144	None
MORT_30_HFDeath rate for heart failure patients	11.1CMS cohort: 278Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 7147	None
MORT_30_PNDeath rate for pneumonia patients	13.4CMS cohort: 234Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 7148	None
MORT_30_COPDDeath rate for COPD patients	9.9CMS cohort: 129Lower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 7146	None
MORT_30_CABGDeath rate for CABG surgery patients	Not AvailableCMS cohort: Not AvailableLower estimate: Not AvailableHigher estimate: Not Available	2022-07-01–2025-06-30	mortality / 7145	5No CMS result for this period
MORT_30_STKDeath rate for stroke patients	9.9CMS cohort: 153Lower estimate: Not AvailableHigher estimate: Not Available	2023-07-01–2025-06-30	mortality / 7149	None
HAI_1_DOPCCentral Line Associated Bloodstream Infection: Number of Device Days	1225	2024-10-01–2025-09-30	hai / 12856	None
HAI_2_DOPCCatheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days	1373	2024-10-01–2025-09-30	hai / 12862	None
HAI_3_DOPCSSI - Colon Surgery: Number of Procedures	64	2024-10-01–2025-09-30	hai / 12868	None
HAI_4_DOPCSSI - Abdominal Hysterectomy: Number of Procedures	50	2024-10-01–2025-09-30	hai / 12874	None
HAI_5_DOPCMRSA Bacteremia: Patient Days	22512	2024-10-01–2025-09-30	hai / 12880	None
HAI_6_DOPCClostridium Difficile (C.Diff): Patient Days	21914	2024-10-01–2025-09-30	hai / 12886	None

CMS footnote definitions · HCAHPS survey versions

2022–2024 annual nursing history · source records & calculations

HCAI 106291023 · annual financial reporting unit
Report	Reporting period	Productive RN hours	Patient days	Contract RN hours	Nursing hours
2022	2021-07-01–2022-06-30	288,782	18,222	18,625	443,641
2023	2022-07-01–2023-06-30	283,860	17,424	17,254	357,530
2024	2023-07-01–2024-06-30	304,099	17,794	27,887	390,587

RN hours per patient day: PRD_HR_RN ÷ DAY_TOT. Contract RN share: CNT_HR_RN ÷ (PRD_HR_RN + PRD_HR_LVN + PRD_HR_AID + CNT_HR_RN).

2022 HCAI annual financial records · Preserved source · API record ID 363 · Audited · ComparableSHA-256: a79841850b69181682634b9cf5baafc9886fc80761f7ef7bd18281d87c488e8e
2023 HCAI annual financial records · Preserved source · API record ID 365 · Audited · ComparableSHA-256: 50ecefcc9e0613b9c65c7f292acbb5ea45d82205d0ec651ee7a42c153143a4ba
2024 HCAI annual financial records · Preserved source · HADR 01-01-2024 to 12-31-2024 row 362 · Audited · ComparableSHA-256: 0fcc4c3c52f335adc63699cf65d5ecbe28b94bb2d20433508cfe799e82541e26

2024 HCAI selected annual financial reports · RN hours and patient-day care mix · Preserved workbook
RN comparison calculation & reporting scope
Unweighted median of hospital report ratios PRD_HR_RN / DAY_TOT. Middle 50%: inclusive linear-interpolated 25th and 75th percentiles. Same 2024 selected-report file; audited Comparable reports, 365 or 366 days, majority (>50%) patient-day care group, exact unique HCAI IDs, reconciled care-day totals and existing CNO ratio. Includes reported zero RN hours; excludes missing values. No reference for mixed care-day groups or cohorts smaller than eight.
HCAI 106291023 · HADR 01-01-2024 to 12-31-2024 · row 362 · Audited · 2023-07-01–2024-06-30
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 304,099 ÷ total patient days: 17,794
- Acute care: 17,794 patient days
- Psychiatric: 0 patient days
- Chemical dependency: 0 patient days
- Rehabilitation: 0 patient days
- Long-term care: 0 patient days
- Residential: 0 patient days
Source SHA-256: 0fcc4c3c52f335adc63699cf65d5ecbe28b94bb2d20433508cfe799e82541e26
Oct 2024–Mar 2025 · EMSA ambulance offload history · page 23 · Preserved report
Offload hospital identity & source times
Sierra Nevada Memorial Hospital · Sierra-Sacramento Valley · CEMSIS 20428 · unique normalized hospital / retained CMS name + EMS geography
- Oct 2024: 0:06:00 · 90th percentile · 587 qualifying offloads · page 23 · count page 33
- Nov 2024: 0:06:00 · 90th percentile · 506 qualifying offloads · page 23 · count page 38
- Dec 2024: 0:06:00 · 90th percentile · 466 qualifying offloads · page 23 · count page 43
- Jan 2025: 0:10:00 · 90th percentile · 517 qualifying offloads · page 23 · count page 48
- Feb 2025: 0:10:00 · 90th percentile · 470 qualifying offloads · page 23 · count page 53
- Mar 2025: 0:10:00 · 90th percentile · 565 qualifying offloads · page 23 · count page 58
CMS ED measures · reporting unit 050150 · SIERRA NEVADA MEMORIAL HOSPITAL · Preserved file
CMS values, dates & identity match
155 GLASSON WAY, GRASS VALLEY 95945 · unique normalized address + city + ZIP
- OP_18b: 145 · 2024-10-01–2025-09-30 · sample 355
- OP_18c: 148 · 2024-10-01–2025-09-30 · sample 23
- OP_18d: Not Available · 2024-10-01–2025-09-30 · sample Not Available · CMS footnote 1
- OP_22: 3 · 2024-01-01–2024-12-31 · sample 32928
Preserved hospital identities · CMS footnote definitions
2022-01-01–2022-12-31 · HCAI licensed specialty beds, ED activity & diversion · Preserved file
2023-01-01–2023-12-31 · HCAI licensed specialty beds, ED activity & diversion · Preserved file
2024-01-01–2024-12-31 · HCAI licensed specialty beds, ED activity & diversion · Preserved file
2024 contract RN share calculation
Nursing-hour denominator
Contract RN hours ÷ (productive RN + productive LVN + productive aide + contract RN hours). HCAI fields: CNT_HR_RN ÷ (PRD_HR_RN + PRD_HR_LVN + PRD_HR_AID + CNT_HR_RN).
Productive FTE calculation · hours ÷ 2,080
2024 HCAI annual financial / RN labor
2025 California capacity record

All public source collections →
Evidence standards & methodology →↑ Back to snapshot

Research record, provenance & reporting scope

← Return to the statewide directory

Public Record Profile · No state call

Sierra Nevada Memorial Hospital

Nevada County · HCAI 106291023

Profile statusLISTED — NOT YET REVIEWEDDescriptive profile · two source layers2024 financial filing audited2024 workforce record available2025 capacity record available

What this page can show2024 nursing labor and 2025 capacity, reported separately.

What the public record reports

What is reported?

This facility is listed, but its records have not received the additional hospital-specific review shown on reviewed profiles.

Reported RN labor304,099 productive RN hours.

304,099Hospital-wide productive RN hours · 2024

Contract RN share7.1% of reported RN labor.

7.1%Agency, registry, or contract RN share · 2024

Reported RN intensity17.1 RN hours per patient day.

17.1Hospital-wide annual proxy · 2024

Reported capacity52 staffed beds.

104 → 52Available → staffed beds · 2025

Evidence trail

Where the numbers came from.

Facility identity

CLEAR — UNIQUE ID MATCH. This page is anchored to HCAI facility ID 106291023.

Open official facility source ↗

Workforce source

2024 productive RN hours and contract-RN measures come from the HCAI hospital financial/workforce reporting layer.

Open HCAI hospital financials ↗

Capacity source

2025 licensed, available, and staffed-bed records are a separate capacity layer with its own reporting scope.

Open California health data ↗

Next evidence step

Acquire third independent audited domain before any state call.

Read CNO’s methodology →

Use the gap

What changed in patient demand, staffed capacity, and permanent RN coverage during the same reporting period—and what happened on my unit?

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Field	Value
month	2024-10
minutes	6
offloadCount	587
countPage	33
rawTime	0:06:00
sourceId	EMSA-APOT-JUNE2025
page	23
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Field	Value
month	2024-11
minutes	6
offloadCount	506
countPage	38
rawTime	0:06:00
sourceId	EMSA-APOT-JUNE2025
page	23
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Field	Value
month	2024-12
minutes	6
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countPage	43
rawTime	0:06:00
sourceId	EMSA-APOT-JUNE2025
page	23
row	22

Field	Value
month	2025-01
minutes	10
offloadCount	517
countPage	48
rawTime	0:10:00
sourceId	EMSA-APOT-JUNE2025
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Field	Value
month	2025-02
minutes	10
offloadCount	470
countPage	53
rawTime	0:10:00
sourceId	EMSA-APOT-JUNE2025
page	23
row	22

Field	Value
month	2025-03
minutes	10
offloadCount	565
countPage	58
rawTime	0:10:00
sourceId	EMSA-APOT-JUNE2025
page	23
row	22